Erectile Dysfunction Treatment: Medications, Recovery, and Self-Assessment - Urology

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Consulting a doctor: If I am taking Cialis for the treatment of erectile dysfunction and I feel normal, but the doctor hasn't said I can stop the medication, I am hesitant to discontinue it.
Can this medication help restore damaged nerves in the penis? During the treatment process, will masturbation affect nerve recovery? If I don't masturbate, I won't know the state of my erections.
What would be a better way to understand the effectiveness of the treatment?

Niming, 20~29 year old female. Ask Date: 2015/12/17

Dr. Xu Weikai reply Urology


Anonymous: Hello, can nerve damage recovery be achieved through medication? I'm not sure; I used to think it was not possible.
However, medical advancements are rapid, and many new medications are being developed, including those targeting nerves.
I suggest consulting a neurologist.
You can undergo tests such as penile erection tests and penile Doppler ultrasound.
If you find it troublesome, you could also observe if there is a difference in natural erections when taking medication.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about you.

Reply Date: 2015/12/17

More Info


Erectile dysfunction (ED) is a common condition that affects many men, and its treatment often involves medications such as sildenafil (commonly known as Viagra) or tadalafil (Cialis). These medications work by increasing blood flow to the penis, which helps achieve and maintain an erection. However, it’s important to understand that while these medications can effectively manage the symptoms of ED, they do not necessarily repair any underlying nerve damage or restore normal erectile function permanently.

When it comes to the question of whether stopping the medication is advisable, it’s crucial to consult your healthcare provider. They can assess your specific situation, including the underlying causes of your ED, and determine whether it’s appropriate for you to continue or discontinue the medication. Some men may find that their erectile function improves over time, allowing them to reduce or stop medication use, while others may need to remain on medication long-term.

Regarding the concern about whether the use of ED medications can help restore damaged nerves, it’s important to clarify that these medications do not regenerate nerve tissue. If nerve damage is a contributing factor to your ED, the medications may help with the symptoms, but they will not heal the nerves themselves. Recovery of nerve function can depend on various factors, including the extent of the damage and the underlying cause of the ED.

As for the role of masturbation in the recovery process, it can be a complex issue. On one hand, engaging in sexual activity, including masturbation, can help maintain blood flow to the penis and may promote overall sexual health. It can also provide a way to assess your erectile function and response to treatment. On the other hand, if you find that masturbation leads to anxiety or stress about your condition, it may be beneficial to approach it with caution. Ultimately, the decision should be based on what feels comfortable for you and what your healthcare provider recommends.

To monitor your recovery and assess the effectiveness of your treatment, consider keeping a journal of your experiences. Note the frequency and quality of your erections, any side effects from medications, and your overall mood and confidence levels. This information can be valuable for discussions with your healthcare provider, who can help tailor your treatment plan based on your progress.

In addition to medication, there are other treatment options for ED, including lifestyle changes, therapy, vacuum erection devices, and, in some cases, surgical interventions. Lifestyle modifications such as regular exercise, a healthy diet, quitting smoking, and reducing alcohol consumption can significantly improve erectile function and overall health.

Lastly, it’s essential to address any psychological factors that may contribute to ED. Anxiety, depression, and relationship issues can all play a role in erectile dysfunction. Speaking with a mental health professional or a sex therapist can provide support and strategies to cope with these challenges.

In summary, while medications for ED can help manage symptoms, they do not repair nerve damage. Consult your healthcare provider about the best course of action regarding medication use and recovery. Engaging in sexual activity, including masturbation, can be beneficial, but it’s essential to approach it in a way that feels right for you. Monitoring your progress and discussing it with your healthcare provider will help ensure that you receive the most effective treatment for your situation.

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